Hypoglycemia, or low blood sugar is sometimes referred to as “Sugar Shock” or “Crashing”. It occurs frequently in Toy Breed, petite, or teacup puppies. Hypoglycemia is a condition that occurs when the blood sugar drops due to  too much activity, lack of food & water and/or stress. If your Maltese puppy is allowed to play too much, it burns up its calories & energy stores. A young puppy is too immature to stop playing, rest and replenish ( & eat some puppy food!). Young Maltese puppies need to eat regularly throughout the day to maintain their normal blood sugar levels.

Hypoglycemia is preventable and your puppy should be monitored for the first week or more after arriving home. If you have purchased a tiny or “teacup” puppy, you may need to monitor your puppy for several weeks, months or even years. Hypoglycemia Kills. Remember this. Learn what to look for and how to prevent it. Most breeders do not guarantee against Hypoglycemia.

The first and most important thing to know about hypoglycemia is what to look for and how to recognize it. These are some signs & symptoms of hypoglycemia with your Maltese puppy.

  1. Drooling. Clenched Teeth.
  2. Inability to get up. Drunk acting, weak, listless, wobbly gait.
  3. Shocky. Big eyes staring as if in shock.
  4. Seizure or stiffness in body. Tremors. Shaking.

If your Maltese puppy displays any abnormal behavior associated with hypoglycemia, you must act immediately! Some things to keep on hand if you have just adopted tiny puppy is:

  1. Karo Syrup
  2. Nutri Cal Puppy Paste
  3. Oral Syringe, for syringe feeding.
  4. Chicken,Beef of Turkey Gerber jar baby food 
  5. Puppy formula
  6. Gerber Rice cereal

Wipe Karo Syrup or Nutri-cal paste on your finger and force it into your puppies mouth. You can also force feed approximately 1/2 teaspoon of smooth puppy gruel or canned puppy food in their mouth by wiping it onto their tongue or roof of their mouth. You may have to pry open its mouth if the puppy is clenching.  Next, give a small amount of water in the puppy’s mouth with an oral syringe. Approximately 1 teaspoon. If the puppy does not perk up after a few minutes, I give a pea size drop of Nutri Cal Puppy Paste, followed by a few drops of water. If the puppy still does not respond but is awake, then I make a runny paste of meat baby food  with rice cereal & water or puppy formula. Using the oral syringe feed the puppy SLOWLY, giving a few drops at a time while allowing the puppy to swallow it. You will want to continue this slow feeding until the puppy returns to normal. You will probably feed it 2 tablespoons or more. Dont overfeed, but you will have to force the food onto its tongue. Allow your puppy to rest after feeding.

Prevention is key.

Always have food and water out for your Maltese puppy 24 hours per day. If you if you have a tiny or teacup puppy, make sure you force feed soft food 2-3 times a day!

Allow your puppy to rest frequently. Babies sleep a lot!

Give NutriCal Puppy Paste in the morning, afternoon and before bed for the first few days after bringing your Maltese puppy home. You can continue giving a pea sized drop at bedtime for several weeks to help prevent any sugar drop through the night.